67042 prior authorization | Anthem Blue Cross Blue Shield of Colorado

67042, Vitrectomy,mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg for repair of macul, is on the Anthem Blue Cross Blue Shield of Colorado prior authorization list. Not a coverage or referral decision.

Code: 67042
Description: Vitrectomy,mechanical, pars plana approach; with removal of internal limiting membrane of retina (eg for repair of macul
Source: Colorado Prior Authorization List, Pg 81 Original policy

Anthem Blue Cross Blue Shield of Colorado prior authorization

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